Breast Imaging for Transgender Individuals: Assessment of Current Practice and Needs

Sonnenblick, Emily B.; Lebron‐Zapata, Lizza; Yang, Roger; Dodelzon, Katerina; Sevilimedu, Varadan; Milch, Hannah; Dialani, Vandana; Dontchos, Brian N.; Destounis, Stamatia; Grimm, Lars J.

doi:10.1016/j.jacr.2021.09.047

Cited by 15 publications

(4 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, 41% of obstetrics and gynecology practitioners knew the recommendations of breast cancer screening in transgender women [ 20 ]. Similarly, a survey of breast imaging radiologists in 2022 found that only 38% of respondents follow breast cancer screening recommendations or provide screening recommendations for transgender women on GAHT in their practice [ 21 ]. The percentage of PCPs who were aware of breast cancer screening recommendations exist for the TGD population increased with 6 or more hours of transgender specific education and previously caring for 6 or more TGD patients, suggesting that increased transgender specific education and clinical experience is important for developing better awareness of these recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…The chest masculinization technique is different from that of an oncologic bilateral mastectomy, and the cancer risk of residual breast tissue left to contour the chest is unclear [ 13 , 22 ]. There are no studies currently to support image-based screening for these patients beyond physical exam, which is based upon guidelines from high-risk cisgender women with prior mastectomies [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Breast Cancer Screening Recommendations for Transgender and Gender Diverse Patients: A Knowledge and Familiarity Assessment of Primary Care Practitioners

et al. 2023

View full text Add to dashboard Cite

Breast cancer screening recommendations for transgender and gender diverse (TGD) patients have only been recently developed and many primary care practitioners (PCPs) are unaware of these specific recommendations. The aim of this study is to assess the level of familiarity and knowledge PCPs have with breast cancer screening recommendations for TGD patients. An anonymous survey was distributed to primary care physicians, primary care advanced practice practitioners, and internal medicine and family medicine residents at three academic medical systems in the United States (Mayo Clinic, University of Michigan, University of Texas – Medical Branch). Survey questions assessed the familiarity and knowledge base of TGD breast cancer screening recommendations, training and experience with TGD patients, and basic demographics of the practitioners. Of the 95 survey respondents, only 35% of respondents were aware that breast cancer screening recommendations for TGD patients existed. PCPs who had increased transgender specific health care training and direct clinical exposure to TGD patients demonstrated significantly higher levels of screening recommendation awareness. Two-thirds of respondents received TGD specific medical education during training or medical career and those who had increased transgender specific medical education or direct clinical exposure to TGD patients demonstrated significantly higher levels of screening recommendation awareness. Awareness of breast cancer screening recommendations for TGD patients is low among PCPs and varied based on the practitioner’s prior TGD education and experience. Up-to-date breast cancer screening recommendations for TGD patients should be readily available across multiple platforms, target key audiences, and integrated into transgender health educational curriculums to maximize awareness of these important recommendations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening Recommendations for Transgender and Gender Diverse Patients: A Knowledge and Familiarity Assessment of Primary Care Practitioners

et al. 2023

View full text Add to dashboard Cite

show abstract

“…ACR recommends screening for transgender women or transfeminine persons over age 25 with 5 years of hormonal therapy and additional risk factors (family history, genetic predisposition, prior chest radiation) and indicates that mammography may be appropriate for transgender women or transfeminine persons on hormonal therapy more than 5 years starting at age 40. Yet, 70% of radiologists in a recent study indicated they had received no training addressing needs of sexual or gender minorities and 65% did not recommend breast cancer screening for transgender men 11 …”

Section: Introductionmentioning

confidence: 99%

“…Yet, 70% of radiologists in a recent study indicated they had received no training addressing needs of sexual or gender minorities and 65% did not recommend breast cancer screening for transgender men. 11 In this qualitative study, we explored experiences of radiologists and radiation oncologists in providing clinical care to TGD and intersex patients by asking about comfort level, relevant past training and training gaps, and clinical recommendations for TGD and intersex patient care. Given the dearth of research in this area, this study can inform future training to optimize clinical care in TGD and intersex populations.…”

Section: Introductionmentioning

confidence: 99%

Radiology and radiation oncology considerations for transgender and intersex patients: A qualitative study

et al. 2023

View full text Add to dashboard Cite

Introduction:In this qualitative study, we explored experiences of radiologists and radiation oncologists in providing clinical care to transgender, gender diverse (TGD), and intersex patients by asking about comfort level, relevant past training and training gaps, and clinical recommendations for TGD and intersex patient care. Methods: A purposive sample of radiology and radiation oncology professionals (n = 16) from diverse practice settings were interviewed on a videoconferencing platform. Transcripts were auto-populated and checked manually for accuracy. Two coders used a mix of deductive and inductive coding to identify key themes. Member checking was conducted with interviewees. Results: Participants reported major gaps in training, knowledge, and confidence related to all aspects of TGD and intersex patient care. Recommendations for improvements included training that encompassed key terminology, how to conduct a physical exam on TGD and intersex patients, radiology and radiation oncology adaptations for TGD and intersex patients, and care coordination among multi-disciplinary oncology team members and gender affirming care providers. Exposure to diverse TGD and intersex persons in personal and professional life contributed to higher levels of comfort among providers in caring for TGD and intersex patients. Conclusion: Gaps in knowledge and limited confidence characterized the sample. Training at all levels is needed to improve radiology and radiation oncology care for TGD and intersex patients.

show abstract

Transgender and Gender Diverse Medical Education in Radiology: A Systematic Review

Kamran,

Chan,

Jackman

et al. 2024

Academic Radiology

View full text Add to dashboard Cite

Breast Imaging for Transgender Individuals: Assessment of Current Practice and Needs

Cited by 15 publications

References 33 publications

Breast Cancer Screening Recommendations for Transgender and Gender Diverse Patients: A Knowledge and Familiarity Assessment of Primary Care Practitioners

Breast Cancer Screening Recommendations for Transgender and Gender Diverse Patients: A Knowledge and Familiarity Assessment of Primary Care Practitioners

Radiology and radiation oncology considerations for transgender and intersex patients: A qualitative study

Transgender and Gender Diverse Medical Education in Radiology: A Systematic Review

Contact Info

Product

Resources

About